Posts for tag: Dizziness
Vertigo and dizziness are different
Vertigo makes you feel as if you are moving even though you are standing still. The room around you may spin. You may feel nauseous, or you may even vomit if the vertigo is severe. Dizziness, on the other hand, occurs when you simply feel off-balance or lightheaded. Vertigo truly makes you feel as if you are spinning.
Vertigo is typically the result of a health problem
Vertigo is usually a symptom of an underlying medical condition that impacts the function of the inner ear. How do we know that? Within our inner ears lie our vestibular system, which helps us stay oriented and balanced. Every day, an ENT doctor diagnoses and treats a variety of conditions and diseases that impact the vestibular system and cause vertigo. Some of the most common causes of vertigo include,
- Benign paroxysmal positional vertigo
- Meniere’s disease
- Vestibular neuritis
- Head injuries
- Multiple sclerosis
There are many ways to treat vertigo
It’s important for an ENT doctor to first determine the cause of your vertigo before prescribing any medications or treatments. We need to treat the underlying cause effectively to get rid of your vertigo. Some of how we may treat your vertigo include,
- Medications: Antibiotics or steroids are prescribed to treat infections or inflammation, while other medications may help alleviate nausea and vomiting caused by the vertigo
- Vestibular rehabilitation: If you deal with chronic or recurring bouts of vertigo your ENT may recommend vestibular rehab to help retrain the vestibular system to be able to better recognize the spatial orientation
- Canalith repositioning maneuvers: This technique is most often used to treat benign paroxysmal positional vertigo and uses certain head movements to reposition calcium deposits within the canal of the inner ear
It’s normal to experience bouts of dizziness if we are stressed, taking certain medications or haven’t eaten in a while; however, what might be going on if your dizziness persists? Dizziness isn’t an uncommon symptom. In fact, most people will experience dizziness that is serious enough to warrant seeing a doctor. While you may visit a family physician to find out what’s going on, don’t be surprised if you end up being referred to an ear, nose & throat doctor.
What causes dizziness?
Dizziness refers to a serious of sensations that make you feel lightheaded, off balance, unsteady or feeling like the world around you is spinning (vertigo). Sometimes dizziness may be accompanied by nausea and vomiting, particularly during more severe episodes. These symptoms can be unnerving but an otolaryngologist can often help.
The most common causes of dizziness that we see include:
Benign paroxysmal positional vertigo (BPPV): This problem affects the inner ear and can lead to persistent episodes of vertigo. Symptoms usually last no more than a minute and will typically come and go. Unfortunately, there often is no cause of BPPV; however, sometimes migraines or inner ear damage may be to blame. Sometimes this condition will go away on its own but an ENT doctor can also provide you with treatment options such as physical therapy that can get rid of symptoms sooner.
Vestibular neuronitis: Inflammation of the eight cranial nerve, known as the vestibular nerve, results in severe vertigo episodes that may cause you to lose balance. This condition can also cause nausea and vomiting. Symptoms usually last anywhere from 7 to 10 days and become milder over the course of several months. A viral or bacterial infection is usually to blame for inflammation of the vestibular nerve.
There are certain medications that can be prescribed by an ENT specialist to help lessen the severity and duration of your symptoms. Sometimes a special type of physical therapy is performed to treat this condition.
Labyrinthitis: This inner ear disorder occurs when one of the two vestibular nerves becomes inflamed. Along with dizziness, vertigo, tinnitus (ringing in the ears), and nausea you may also lose hearing in one ear. Any changes to your hearing warrant immediate medical attention. Viral, respiratory, and bacterial infections can all cause this disorder.
Medications such as corticosteroids, sedatives and antihistamines may be prescribed to help with your symptoms. Just like with vestibular neuronitis, a type of physical therapy known as vestibular rehabilitation therapy (VRT) may also be recommended.
Meniere disease: This progressive inner ear condition also causes similar symptoms to labyrinthitis including tinnitus, hearing loss, pressure in the ears, and dizziness. Symptoms will gradually get worse over time, and these attacks may also cause a rapid pulse, blurry vision and anxiety.
While there is no cure, there are treatment options that can effectively manage your dizziness and also reduce fluid in the ear. Medications such as steroids, motion sickness medicines, and diuretics are often used, as well as rehabilitation, therapy, hearing aids, and sometimes surgery.
If you are dealing with dizziness or any other warning signs of an ear problem it’s a good time to turn to an ENT doctor who can help you find the right treatment to get you back on two steady feet again.
Find out if those symptoms of vertigo could be due to problems with the ear.
There are many reasons why you may feel dizzy. Maybe you got up too quickly or you’ve been in a rush all day and realized you haven’t eaten. Of course, there are certain times when the dizziness or spinning you’re feeling is due to an issue within the vestibular system, the system within the ear that is responsible for spatial orientation and balance. Find out when you should turn to an otolaryngologist to treat your symptoms of vertigo.
In order to diagnose your dizziness, there are several diagnostic tests that may be conducted. Your ENT doctor will go through your medical history and then perform a physical examination. We will ask you questions regarding the symptoms you are experiencing and when you experience them. A hearing test is one of the most common procedures performed because it’s the best way to test your balance and the inner ear.
There are many problems that could be to blame for your dizziness including:
- Problems or disorders within the inner ear
- Central nervous system disorders
- High blood pressure
- Bacterial or viral infections
- Side effects of certain medication
Dizziness can be treatable, it’s just important to be able to determine the root cause so we know the best approach for treating your symptoms. So, when should you see an ear, nose and throat doctor regarding your dizziness? You should contact an ENT specialist if:
- Your primary care doctor has not been able to determine the cause of your dizziness
- You are experiencing hearing loss, hearing changes or ringing in the ears
- There is pressure or fullness in the ear or ears
Common ENT causes of dizziness and vertigo include:
- Benign paroxysmal positional vertigo (BPPV): caused by the displacement of crystals within the inner eye
- Meniere’s disease: an imbalance of fluid within the inner ear
- Labyrinthitis: inflammation or infection with the inner ear (can cause hearing loss if left untreated)
- Vestibular neuritis: a viral infection of the vestibular nerve
One of the first tests a doctor will perform is an eye movement test that will check for issues within the inner ear (vestibular system). From there, your doctor will create a treatment plan based on the cause. Common treatment options include:
- Medication to reduce motion sickness and nausea from vertigo
- Canalith repositioning procedure: a technique that helps reposition the crystals within the inner ears (for treating BPPV)
- Migraine medications (to treat Meniere’s disease and vestibular migraines)
- Rehabilitation and exercises to improve balance
- Surgery (in rare cases)
If you’ve been dealing with severe or persistent dizziness then it’s time to contact an ENT doctor to find out what’s going on.